Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Unspecified Location for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Unspecified Location only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Unspecified Location (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Barret Neville (NPI 1083189989)

Field	Value
Entity Type	Individual
Organization	Barret Neville
Address	1 Canterbury Place
City	North York
State	XX (Unspecified Location)
ZIP	M2N2N
Taxonomy	Family Medicine Physician
NPI Enumerated	October 6, 2018

Payer Source	Total Paid
Medicare	$16.9K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is small in absolute dollars: Total Medicare revenue is $16.9K and there is no Medicaid billing on file, so the provider is effectively a single-payer (Medicare-only) public-program biller in the available data. The absence of any Medicaid revenue (“none”) means there is no Medicaid-derived service mix or state-level competitive data to analyze.

Revenue is highly concentrated in a small set of inpatient E/M codes: the precomputed top-3 Medicare codes (99223, 99233, 99232) account for 77.9% of this provider’s total Medicare revenue. Those three codes individually contribute $7.8K (99223 — 46.1%), $3.8K (99233 — 22.6%), and $1.6K (99232 — 9.2%) of the $16.9K Medicare total, signaling reliance on a narrow set of clinical services for most public-payer revenue.

The code mix points to hospital-based inpatient/observation evaluation-and-management work: 99223 (initial inpatient/observation, high complexity), 99233 and 99232 (subsequent inpatient/observation, high and moderate complexity) dominate the billed services. Presence of other inpatient E/M codes (99231, 99221, 99222) reinforces that this clinician’s activity pattern is focused on hospital rounds and inpatient care rather than outpatient primary-care visits.

Claim counts and average payments for the top codes are modest in scale: 99223 shows 69 claims at $113 avg paid/claim generating $7.8K, 99233 has 49 claims at $78 avg paid/claim generating $3.8K, and 99232 has 30 claims at $52 avg paid/claim generating $1.6K. Those per-code claim volumes and average payments are consistent with a clinician who bills intermittently or in a limited hospitalist/coverage capacity rather than a high-volume inpatient practice.

National competitive standing of the top codes is not dominant. 99223 ranks #41909 of 139583 nationally (70th percentile; typical, unremarkable volume for this code), 99233 ranks #84912 of 128818 (33th percentile; typical, unremarkable volume for this code), and 99232 ranks #142721 of 177383 (19th percentile; typical, unremarkable volume for this code), which together indicate modest participation in national cohorts rather than market leadership.

All of the listed codes carry the dataset’s plain-English characterization of “typical, unremarkable volume,” meaning none of the reported CPTs are flagged as extreme outliers or notably above typical volume in national comparisons; this reinforces that the provider’s patterns are within expected ranges for these inpatient E/M services.

Provider tenure is relatively recent: NPI enumerated on 2018-10-06 (~8 years ago). Given the limited lifetime Medicare revenue ($16.9K) since that enumeration date, the profile is consistent with a clinician who may be part-time, in a covering role, or newly active in billing hospital E/M services over the past several years.

From a payer or contracting perspective, the combination of concentrated inpatient E/M coding and absence of Medicaid billing suggests limited public-payer diversification; this provider presents low Medicare spend exposure overall but concentrated dependency on a few hospital-based codes, which may simplify targeted utilization reviews or focused inpatient-network contracting decisions.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$110	$7.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$80	$3.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$50	$1.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$30	$1.5K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$50	$1.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$90	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Barret Neville — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	11	10	110	$60	$6.9K
99222	8	10	40	$100	$3.9K
99223	2	10	10	$140	$1.6K
99221	3	0	N/A	$N/A	$N/A
99231	3	0	N/A	$N/A	$N/A
99233	2	0	N/A	$N/A	$N/A

Barret Neville — Billing Profile & Reimbursement Data

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Barret Neville — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References